APLG-Net: an anatomy-guided local-global hybrid network with progression-aware supervision for structural MRI-based NC/MCI/AD classification - Summary - MDSpire

APLG-Net: an anatomy-guided local-global hybrid network with progression-aware supervision for structural MRI-based NC/MCI/AD classification

  • By

  • Bin Shi

  • Zhimin Wang

  • Jing Lian

  • Zhaorui Yang

  • Xiaona Zuo

  • July 15, 2026

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Objective:

To develop a model for classifying normal controls (NC), mild cognitive impairment (MCI), and Alzheimer's disease (AD) using structural MRI, addressing challenges in anatomical variations and disease progression.

Approach:
  • Model Architecture: APLG-Net integrates a global whole-brain encoder and a local ROI-based encoder, utilizing cross-attention fusion and vector-gated integration.
  • Supervision Strategy: An ordinal supervision strategy is introduced to model disease progression among NC, MCI, and AD.
Key Findings:
  • APLG-Net achieved 87.1% accuracy, 86.4% balanced accuracy, 86.8% Macro-F1, and 85.6% MCI F1 on the ADNI dataset.
  • The model outperformed CNN-based, Transformer-based, and hybrid baselines.
  • Incorporating anatomical priors and local-global feature interaction significantly improved MCI discrimination.
Interpretation:

Conclusion:

APLG-Net effectively addresses the challenges of classifying NC, MCI, and AD by integrating local and global anatomical information and modeling disease progression.

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